Methadone

[BigPWisco.]

Hello everyone, I could really use some advice. So I am currently on Methadone @ 315mgs per day. Yes thats a huge dose, but I am a fast metabolizer confirmed by peak and trough blood tests. I originally got on methadone in 2018 after having a major relapse on fentanyl and heroin. My tolerance got so high that when I tried getting back on my suboxone (I had been on subs from 2011-2018) the suboxone was ineffective, so I tried methadone and after 3 months of going up 5mg every 3 days I finally got to my stable dose of 290mg. Unfortunately I had another relapse in mid 2020 and ended up getting arrested for possession of heroin and crack and was sent to jail for 30 days where I went through a horrific withdrawal. I was still sick even after 30 days and so decided to get back on suboxone. I had another relapse in mid 2021 which again shot my tolerance up to the stratosphere and again failed to get back on my subs. So methadone it was, again. This time I got up to 315mg which is my current dose. I have been on this dose for years now and have been clean since late 2021. The reason for this post is because I am really, and I mean really struggling with severe depression, malaise, lethergy, no drive, no sex drive, ect. ect. The only time I feel normal or what I think normal should feel like is for the 1-2 hours after I dose. For that time I feel ok, I have drive, I'm not depressed, ect. But after I eat lunch it all goes down hill and for the rest of the day I feel like absolute shit and it is literally ruining my life. As I described I have no drive, no desire to get up and fulfill my goals and plans. Even basic shit like cooking my kids dinner is a fucking chore. All I want to do is go to sleep so I can wake up and dose again and feel ok for that 1-2 hours. Any advice? Am I just fucked? Should I taper or get off completely? I really need help, IM about to get evicted, I'm financially ruined, all because I cant bring myself to get a job because after noon I get hit with such a crushing depression and malaise I feel like I just want to blow my brains out. NOT A SERIOUS THREAT, THATS JUST WHAT I FEEL LIKE. Please help with any advice, thank you. Patrick

 

[hwbush336]

Brother it's the dose COMPLETELY... I know your a fast metabolizing but your NOT going to get sick from the withdrawal of Fetty so you can mosf definitely start coming down , I felt the EXACT same way bro on my highest dose of 178 , I wasn't using but I was lethargic depressed and could NOT get up and get shit done .. I came all the way down to 50 mg in like 30 days and its completely different, tho i still have those times I dont want to move , i get up and do it as bad as I don't want to and make it a habit , u might need a small dose of ssr anti depressants along with while coming down, it's completely ok bro . I understand the tolerance but you've not done dope in a minute so it's time to come down . I PROMISE the sex drive comes back hell I jerk off daily if I'm not getting pussy , motivation, and drive , now you'll start to get use to the low dose as well and it'll start doing the same as your tolerance lowers keep in mind BUTTT not near as bad bro .. you could come off probably 20 mg at a time and not be sick , i came off 50 in a day felt fine , not recommended but your just on way to much at this stage brother . You live in the United states ? I'm in Ohio .

 

[flyineyes]

Brother it's the dose COMPLETELY... I know your a fast metabolizing but your NOT going to get sick from the withdrawal of Fetty so you can mosf definitely start coming down , I felt the EXACT same way bro on my highest dose of 178 , I wasn't using but I was lethargic depressed and could NOT get up and get shit done .. I came all the way down to 50 mg in like 30 days and its completely different, tho i still have those times I dont want to move , i get up and do it as bad as I don't want to and make it a habit , u might need a small dose of ssr anti depressants along with while coming down, it's completely ok bro . I understand the tolerance but you've not done dope in a minute so it's time to come down . I PROMISE the sex drive comes back hell I jerk off daily if I'm not getting pussy , motivation, and drive , now you'll start to get use to the low dose as well and it'll start doing the same as your tolerance lowers keep in mind BUTTT not near as bad bro .. you could come off probably 20 mg at a time and not be sick , i came off 50 in a day felt fine , not recommended but your just on way to much at this stage brother . You live in the United states ? I'm in Ohio .

Hi, I just wanted to say that despite bigPwisco not replying, your advice was valuable to me. Perhaps they fell off again, hopefully they return and try again. Cheers mate, all the best.

 

[goodjunkie]

Hello everyone, I could really use some advice. So I am currently on Methadone @ 315mgs per day. Yes thats a huge dose, but I am a fast metabolizer confirmed by peak and trough blood tests. I originally got on methadone in 2018 after having a major relapse on fentanyl and heroin. My tolerance got so high that when I tried getting back on my suboxone (I had been on subs from 2011-2018) the suboxone was ineffective, so I tried methadone and after 3 months of going up 5mg every 3 days I finally got to my stable dose of 290mg. Unfortunately I had another relapse in mid 2020 and ended up getting arrested for possession of heroin and crack and was sent to jail for 30 days where I went through a horrific withdrawal. I was still sick even after 30 days and so decided to get back on suboxone. I had another relapse in mid 2021 which again shot my tolerance up to the stratosphere and again failed to get back on my subs. So methadone it was, again. This time I got up to 315mg which is my current dose. I have been on this dose for years now and have been clean since late 2021. The reason for this post is because I am really, and I mean really struggling with severe depression, malaise, lethergy, no drive, no sex drive, ect. ect. The only time I feel normal or what I think normal should feel like is for the 1-2 hours after I dose. For that time I feel ok, I have drive, I'm not depressed, ect. But after I eat lunch it all goes down hill and for the rest of the day I feel like absolute shit and it is literally ruining my life. As I described I have no drive, no desire to get up and fulfill my goals and plans. Even basic shit like cooking my kids dinner is a fucking chore. All I want to do is go to sleep so I can wake up and dose again and feel ok for that 1-2 hours. Any advice? Am I just fucked? Should I taper or get off completely? I really need help, IM about to get evicted, I'm financially ruined, all because I cant bring myself to get a job because after noon I get hit with such a crushing depression and malaise I feel like I just want to blow my brains out. NOT A SERIOUS THREAT, THATS JUST WHAT I FEEL LIKE. Please help with any advice, thank you. Patrick

Oh wow getting locked up and withdrawing in jail truly is horrific, inhumane even. Here in Australia we get the methadone even while locked up, as long as got legit script for it. Im on 75mg methadone and its enough for me coz never done fetty we get straight H here fortunately. Ive done heroin for about a year straight never really had true full blown withdrawal because done it pretty much everyday and eventually i couldn't afford it anymore so i jumpd on the mdone. Been on it for about 10 months now.

Anyway, could you please describe what was that like? The withdrawal.If you can. Coming off 290mg is craaazzy.

Your dosage situation is hardcore. All i can say is taper. Drop 10% of your dose every week or as you feel. Sonce your a fast metabolizer try to get split dosages if possible like a morning and afternoon dose. Lyrica benzos and promethazine can also help to potentiate your dose allowing you to take less methadone, just be careful coz these are addictive as well.

 

[goodjunkie]

Hello everyone, I could really use some advice. So I am currently on Methadone @ 315mgs per day. Yes thats a huge dose, but I am a fast metabolizer confirmed by peak and trough blood tests. I originally got on methadone in 2018 after having a major relapse on fentanyl and heroin. My tolerance got so high that when I tried getting back on my suboxone (I had been on subs from 2011-2018) the suboxone was ineffective, so I tried methadone and after 3 months of going up 5mg every 3 days I finally got to my stable dose of 290mg. Unfortunately I had another relapse in mid 2020 and ended up getting arrested for possession of heroin and crack and was sent to jail for 30 days where I went through a horrific withdrawal. I was still sick even after 30 days and so decided to get back on suboxone. I had another relapse in mid 2021 which again shot my tolerance up to the stratosphere and again failed to get back on my subs. So methadone it was, again. This time I got up to 315mg which is my current dose. I have been on this dose for years now and have been clean since late 2021. The reason for this post is because I am really, and I mean really struggling with severe depression, malaise, lethergy, no drive, no sex drive, ect. ect. The only time I feel normal or what I think normal should feel like is for the 1-2 hours after I dose. For that time I feel ok, I have drive, I'm not depressed, ect. But after I eat lunch it all goes down hill and for the rest of the day I feel like absolute shit and it is literally ruining my life. As I described I have no drive, no desire to get up and fulfill my goals and plans. Even basic shit like cooking my kids dinner is a fucking chore. All I want to do is go to sleep so I can wake up and dose again and feel ok for that 1-2 hours. Any advice? Am I just fucked? Should I taper or get off completely? I really need help, IM about to get evicted, I'm financially ruined, all because I cant bring myself to get a job because after noon I get hit with such a crushing depression and malaise I feel like I just want to blow my brains out. NOT A SERIOUS THREAT, THATS JUST WHAT I FEEL LIKE. Please help with any advice, thank you. Patrick

 

[goodjunkie]

Sorry im a bit late with my broken english answer but yeah. Since you are a proven fast metabolizer ask your doc or clinic if you could split ur dose in half have a morning and afternoon dose. If for some reason they cant do that for ya then take some lyrica or benzos in the afternoon. Or whatever works for you. Oh and i know it sounds a bit difficult but do some physical exercise like running pushups go to gym lift weights it can do wonders and kick your natural endorphins in its almost like a drug, dont underestimate the power of exercise! The hardest bit is to get up and start doing it.

 

[Keif' Richards]

For anyone else reading this, I would recommend a slow taper. Too much of a good thing is a bad thing. A piece of chocolate cake is mouth watering, but an entire chocolate cake is just disgusting.

Opioids are the same. I was at one point using up to 5g of relatively pure Heroin per day when I was living in SE Asia, intravenously. I had to use 3 different rigs for each set up as the mud would clog them up. My early experiences with Heroin were... heaven. It was my Dad loving me. It was my Mom being proud of me. It was respect, love, it was everything a person could ever hope for. Injecting 5g of Heroin in a day made me numb. It made me feel trapped. I couldn't feel anything. How could something so great end up so hollow and shitty?

I understand that there are prescribed Heroin users who settle at doses of ~.6g - 1.2g pure Heroin injected. They seem to get the positive effects from the drug without these negative side effects.

You need to do the same thing. I believe Methadone is best at ~120mg and ~150mg seems to be when the bullshit really starts for people, the lethargy, the numbness etc.

A slow taper, even if it takes a year or more can get you there with minimal discomfort.